Lessening the erosive influence of electrolyte sports drinks on teeth using L-arginine and aqueous Miswak extract

The characterization of S. persica (Salvadora persica) extract, which involved evaluating its antibacterial activity, demonstrated the extract's strong efficacy. Additionally, incorporating it into PMMA/HA showcased the composite's good antibacterial activity. The objective of this work is to evaluate how the incorporation of S. persica extract affects the wear resistance of the dental composite PMMA/HA, considering the critical importance of wear resistance in dental applications. The wear response of this biocomposite was tested against an Alumina ball using a pin‐on‐disc tribometer. Initially, the hydroxyapatite (HA) micro particles demonstrate a remarkable influence on wear behavior when incorporated at an optimal percentage (10%wt). This optimal inclusion rate not only significantly increases the wear rate but also instigates a shift in the wear mechanism, favoring abrasive wear while minimizing adhesive wear comparing to PMMA. The addition of the extract nanoparticles to the composite PMMA/HA decreases the wear rate except the composite containing 10 wt% of each filler. Additionally, it introduces adhesive wear, in addition to the existing fatigue and abrasion wear. Thus, the composite PMMA/HA could accommodate up to 10 wt% of the S. persica extract as the optimal percentage that provides antibacterial activity to this biocomposite without exhibiting a deterioration in wear performance.Highlights The evaluation of the effect of incorporating S. persica extract, which provides antibacterial activity, on the wear resistance of the PMMA/HA dental composite generally demonstrates a reduction in this property. The addition of S. persica extract introduces adhesive wear in addition to the fatigue and abrasion wear already present in the PMMA/HA composite. The composite PMMA/HA can accommodate up to 10 wt% of S. persica extract without compromising its wear performance.

Caustic ingestion is a potentially detrimental event that can cause serious devastating damage on contact with tissues. Local exposure is associated with severe pain, swelling and ulceration. Caustics-induced oral ulcers can be painful enough to compromise the patient's quality of life. Treatment of oral ulcers is crucial in clinical practice. Albeit, some ulcers do not respond adequately to the conventional treatment. The current study was conducted to evaluate the potential healing effects of topical Salvadora persica (SP) extract, low-level laser (LLL) and high-level laser (HLL) therapies in a rabbit model of caustic-induced tongue ulcers and explore the underlying mechanisms. Fifty male rabbits with acaustic induced tongue ulcers were included in the study. Rabbits were equally divided into four groups: positive control (ulcer) group, SP, LLL and HLL groups in addition to the negative control (healthy) group. All treatments were given thrice weekly for 14days. Results showed that acetic acid-induced tongue ulcers caused extensive structural tongue damage secondary to overexpression of apoptotic BAX, pathological angiogenesis indicated by VEGF overexpression, marked collagen fibers deposition as well as upregulation of tissue pro-inflammatory TNF-α and upregulation of tissue anti-inflammatory IL-10. The healing potential of topical SP, LLL and HLL therapy are mostly comparable. In conclusion, acetic acid-induced extensive tongue damage. Topical SP extract, LLL and HLL are equally effective therapies against caustics-induced tongue ulcers. However, we recommend SP extract, owing to its safety, non-invasiveness, availability and low cost.

Saliva adalah cairan tubuh yang kompleks dan memiliki peran penting yang terkait dengan proses biologi dalam rongga mulut. Saliva memiliki peran penting dalam menjaga kesehatan rongga mulut dari karies dan penyakit periodontal. Salah satu fungsi saliva dalam menjaga kesehatan mulut berkaitan dengan tingkat keasaman saliva (pH). pH saliva dapat mempengaruhi kesehatan mulut yang berhubungan dengan karies dan penyakit periodontal. Salah satu metode pencegahan yang bisa dilakukan adalah secara kimiawi dengan menggunakan obat kumur. Salah satu obat kumur yang dapat digunakan adalah miswak (Salvadora persica). Kandungan kimia ekstrak Salvadora persica dapat mencegah menurunnya pH saliva karena memiliki efek bakterisida yang akan mencegah produksi asam dari bakteri mulut, meningkatkan aktivitas buffer saliva melalui peningkatkan sekresi saliva. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh ekstrak Salvadora persica pada pH saliva. Metode yang digunakan dalam penelitian ini adalah eksperimental dengan satu kelompok desain pre-posttest. Subyek penelitian adalah 17 siswa dari SMK Muhammadiyah 1 Padang. Pengukuran dilakukan sebelum dan sesudah berkumur dengan larutan ekstrak Salvadora persica 50%. Data dianalisis dengan T-test (p <0,05). Hasil penelitian ini menunjukkan rata-rata pH saliva sebelum diberikan larutan ekstrak Salvadora persica adalah 6,565 dan pH saliva setelah diberi larutan ekstrak miswak adalah 7,4. Berkumur dengan ekstrak Salvadora persica dapat menjadi solusi dalam meningkatkan pH saliva dan dapat digunakan sebagai obat kumur untuk menjaga kesehatan rongga mulut.

Effects of Salvadora persic a extracts on mice exploratory locomotion activities

To investigate physical and antimicrobial properties of Glass Ionomer Cement (GIC) combined with Salvadora Persica Extract (SPE). SPE was added to GIC (Fuji IX) in concentrations of 1%, 2% and 4% w/w. The compressive strength and diametral tensile strength were measured at 1 h, 24 h and 7 days. The antimicrobial effect was tested in agar dilution assay in blood agar plates with Candida albicans, Streptococcus mutans, Streptococcus sanguis, Streptococcus mitis, Streptococcus salivarius and Actinomyces naeslundii as test organisms. GIC containing 5% chlorhexidine served as positive control. Significant differences were found for the compressive strength and diametral tensile strength as a result of adding SPE to GIC (p<0.05). GIC with 2 or 4 % SPE was significantly weaker than the GIC control, while GIC with 1% SPE was not different from the control. The mean values for the 4% SPE-containing specimens and the GIC control group ranged from 108.7MPa to 141.1MPa for CS and from 8.2MPa to 12.5MPa for DTS. The 1% SPE-containing specimens were not different in physical properties compared to the control GIC specimens; the 2% SPE-containing specimens were statistically slightly less strong (p<0.05), but within an acceptable range. As compared with pure GIC the antimicrobial properties of the SPE-containing specimens were increased significantly (p<0.01). It has been found up to a 2-fold increased inhibition compared to the GIC with increasing concentrations of SPE. For most microorganisms tested the SPE group inhibited less than Chlorhexidine, but significantly better than pure GIC (p<0.01). SPE could be a promising natural material as an additive to GICs. Further studies should include in vivo tests and other antimicrobial and physical properties of this combination.

BackgroundThe stability of resin–dentin interfaces is still highly questionable. The aim of this study was to evaluate the effect of Salvadora persica on resin–dentin bond durability.Materials and methodsExtracted human third molars were used to provide mid-coronal dentin, which was treated with 20% Salvadora persica extract for 1 min after acid-etching. Microtensile bond strength and interfacial nanoleakage were evaluated after 24 h and 6 months. A three-point flexure test was used to measure the stiffness of completely demineralized dentin sticks before and after treatment with Salvadora persica extract. The hydroxyproline release test was also used to measure collagen degradation by endogenous dentin proteases. Statistical analysis was performed using two-way ANOVA followed by post hoc Bonferroni test and unpaired t-test. P-values < 0.05 were considered statistically significant.ResultsThe use of Salvadora persica as an additional primer with etch-and-rinse adhesive did not affect the immediate bond strengths and nanoleakage (p > 0.05). After 6 months, the bond strength of the control group decreased (p = 0.007), and nanoleakage increased (p = 0.006), while Salvadora persica group showed no significant difference in bond strength and nanoleakage compared to their 24 h groups (p > 0.05). Salvadora persica increased dentin stiffness and decreased collagen degradation (p < 0.001) compared to their controls.ConclusionSalvadora persica extract pretreatment of acid-etched dentin preserved resin–dentin bonded interface for 6 months.Clinical significanceDurability of resin-dentin bonded interfaces is still highly questionable. Endogenous dentinal matrix metalloproteinases play an important role in degradation of dentinal collagen within such interfaces. Salvadora persica may preserve resin-dentin interfaces for longer periods of time contributing to greater clinical success and longevity of resin composite restorations.

The miswak, a traditional chewing stick for cleaning teeth, is made from the plant Salvadora persica. It contains a wide range of healthy components in maintaining good oral hygiene. The objective of this study is to determine the effectiveness of whitening toothpaste containing Salvadora persica extract at removing tea and chlorhexidine stain by comparing with one of commercially available whitening toothpaste and drinking water as a control group. A randomized experimental study was done. The standard method cycled clear acrylic specimens through artificial saliva, 0.2% chlorhexidine and tea on the hour 8 times per day and stain were measured using a spectrophotometer to achieve baseline reading. Test interventions were 2 whitening kinds of toothpaste; whitening toothpaste containing Salvadora persica extract (group A), commercial whitening toothpaste (group B) and drinking water as a control group (group C). Treatment interventions were done at 09:00 and 16:00 by exposing the specimens to slurries of each treatment for 2 minutes. The specimens remained in the artificial saliva between each cycles day and night. At the end of the day, the stain was assessed by spectrophotometer and Lobene Stain Index. The comparison of total stain removal assessed by spectrophotometer on day 5 between all groups was significant (p=0.007). The median of total stain removal and visual assessment recording using Lobene stain index showed Salvadora persica whitening toothpaste scored more reduction of staining followed by commercial whitening toothpaste and then control group. As a conclusion, the whitening toothpaste containing Salvadora persica is more effective at removing tea and chlorhexidine stain.

Salvadora persica, a plant that contains a wide range of healthy components, has been used as chewing stick for ages to maintain good oral hygiene and currently has been approved to remove stains. However, its stain-preventing effect is still under investigation. This study aimed to investigate the effectiveness of Salvadora persica and commercially available whitening toothpastes on preventing tea and chlorhexidine stains. Sixty clear acrylic blocks were used and divided into 3 groups, 20 for each group. First group was treated with drinking water, second with commercially available whitening toothpaste and third with whitening toothpaste containing Salvadora persica extract. Baseline measurement by spectrophotometer was taken before starting the procedure. All specimens were immersed in artificial saliva for 2 minutes, rinsed in distilled water and exposed in 0.2% chlorhexidine and tea solution. These cycles were performed 8 times a day for 5 days. Intervention with whitening toothpaste was done for 2 minutes; twice a day. Eventually, all blocks were removed, washed and dried. Stain was assessed by spectrophotometer and visual assessment using Lobene stain index (1968). This study results showed significant differences among groups (Kruskal-Wallis test, p&lt;0.001) and Salvadora persica extract was found to be more effective than commercially availablewhitening toothpaste on preventing stain formation

Efficacy of Salvadora persica root extract as an endodontic irrigant – An in-vitro evaluation

Gastric ulcers are among the most broadly perceived illnesses affecting individuals. Alcohol consumption is the main cause of gastric ulceration. This study assessed the protective effects of Salvadora persica (SP) extract against ethanol-induced gastric ulcer and elucidated the conceivable underlying mechanisms involved. For this purpose, 40 rats were allotted into 4 equal groups (control, ethanol- (EtOH-) treated, and SP-treated “SP200 and SP400” groups). The control and EtOH-treated groups were given phosphate buffer saline (PBS), and both the SP200 and SP400 groups were given SP extract dissolved in PBS at doses of 200 and 400 mg/kg b.w., respectively. All treatments were given orally for 7 constitutive days. On the 8th day, all rats were fasted for 24 h followed by oral gavage of PBS in the control group and chilled absolute ethanol solution (5 ml/kg b.w.) in the EtOH- and SP-treated groups to induce gastric lesions. One hour later, the rats were sacrificed and the stomachs were harvested. Gross and microscopic examinations of the EtOH-treated group showed severe gastric hemorrhagic necrosis, submucosal edema, destruction of epithelial cells, and reduced glycoprotein content at the mucus surface. These pathological lesions were defeated by SP extract treatment. Administration of SP extract modulated the oxidative stress and augmented the antioxidant defenses. The elevated ethanol-expressed tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) genes, as well as bcl-2-like protein 4 (Bax) and inducible nitric oxide synthase (iNOS), were diminished in the SP-treated group. Curiously, SP extract upregulated endothelial nitric oxide synthase (eNOS) and transforming growth factor-β1 (TGF-β1) gene expression comparable to that of the EtOH-treated rats. Aggregately, SP exerted antiulcer activities in ethanol-induced gastric ulcer rat models via modulation of oxidant/antioxidant status, mitigation of proinflammatory cytokines, and apoptosis, as well as remodeling of both NOS isoforms.

Background: The bond strength of root canal sealers to dentin was important for maintaining the integrity of the seal in root canal filling in both static and dynamic situations. In a static situation, it should eliminate any space that allowed the percolation of fluids between the filling and the wall while in a dynamic situation; it was needed to resist dislodgement of the filling during subsequent manipulation. Materials and Methods: Forty mandibular premolars were selected for this study. All canals were instrumented using ProTaper rotary instruments. Instrumentation was done with copious irrigation of 5.25% sodium hypochlorite. Roots were randomly divided into four groups according to the type of cleaning and method of root canal irrigation (ten teeth for each group): Group A. The root canals were irrigated with 5 ml of 17% of EDTA for 1 minute and 5 ml of 5.25% NaOCl. Group B. Cleaning with waterlase laser. Group C. The root canals were irrigated with 5 ml of 5mg/ml of siwak (Salvadora persica) extract for one minute. Group D. The root canals were irrigated with 5 ml of 5% of green tea (camellia sinensis) extract for one minute. All groups were rinsed with distilled water and then obturated with cold lateral condensation technique and i Root sp sealer (Bioceramic sealer, the roots then stored in moist environment at 37°C for one week. Three horizontal sections were prepared at a thickness of 1 mm ±0.1 in the apical, middle and coronal parts of each root. The test specimens were subjected to the push-out test method using a Universal Test Machine that carried 1-mm, 0.5- mm and 0.3-mm plungers for coronal, middle and apical specimens, respectively. The loading speed was 0.5 mm/ min. The computer showed the higher bond force before dislodgment of the filling material. These forces were divided by the surface area to obtain the bond strength in MPa. Results: In all groups the mean value of push-out strength was greatest in apical area and least in coronal area and the middle area was in between, except in Waterlase the middle area showed the least mean push-out strength. Conclusion: Herbal extracts used in this study (Siwak and green tea) can be used safely as an intra-canal irrigant for smear layer removal with efficiency that is comparable with conventional synthetic materials (EDTA) and more complicated methods (Waterlase).

Herbal medicine combined with nanoparticles has caught much interest in clinical dental practice, yet the incorporation of chitosan with Salvadora persica (S. persica) extract as an oral care product has not been explored. The aim of this study was to evaluate the combined effectiveness of Salvadora persica(S. persica) and Chitosan nanoparticles (ChNPs) against oropharyngeal microorganisms. Agar well diffusion, minimum inhibitory concentration, and minimal lethal concentration assays were used to assess the antimicrobial activity of different concentrations of ethanolic extracts of S. persica and ChNPs against selected fungal strains, Gram-positive, and Gram-negative bacteria. A mixture of 10% S. persica and 0.5% ChNPs was prepared (SChNPs) and its synergistic effect against the tested microbes was evaluated. Furthermore, the strain that was considered most sensitive was subjected to a 24-h treatment with SChNPs mixture; and examined using SEM, FT-IR and GC–MS analysis. S. persica extract and ChNPs exhibited concentration-dependent antimicrobial activities against all tested strains. S. persica extract and ChNPs at 10% were most effective against S. pneumoni, K. pneumoni, and C. albicans. SEM images confirmed the synergistic effect of the SChNPs mixture, revealing S. pneumonia cells with increased irregularity and higher cell lysis compared to the individual solutions. GC–MS and FT-IR analysis of SChNPs showed many active antimicrobial phytocompounds and some additional peaks, respectively. The synergy of the mixture of SChNPs in the form of mouth-rinsing solutions can be a promising approach for the control of oropharyngeal microbes that are implicated in viral secondary bacterial infections.

This study aimed to test the biocompatibility and antibacterial properties of Salvadora persica (S. persica) extract, a natural product, as an intracanal medication in comparison with calcium hydroxide (Metapaste, META BIOMED, Cheongju, Korea). The pH values of both materials were tested. The biocompatibility of S. persica extract and Metapaste was determined using light microscopy and MTT assays. The antibacterial action was tested using the zone of bacterial inhibition on four common bacterial species. In addition, intracanal medication was administered using 68 extracted single-rooted teeth contaminated with Enterococcus faecalis (E. faecalis), and the percentage reduction in colony count (% RCC) at 1, 3, and 7 days was measured. The extension of activity for both materials was assessed using histological sections and scanning electron microscopy. S. persica was found to be acidic in nature. Both materials showed significantly lower cell viability than the positive control cells on days 1 and 3 but not on day 7. S. persica showed better antibacterial effects against E. faecalis and S. mutans. S. persica extract showed 97.6%, 98.9%, and 99.3% RCC values at 1, 3, and 7 days, respectively, which are comparable to those of Metapaste. S. persica herbal extract is a promising material that can be utilized as an intracanal medication, but its use requires further research.

The highly efficient green synthesis of nanostructured ZnFe2O4 photocatalysts by using Ziziphus mauritiana and Salvadora persica extracts for the photocatalytic degradation of crystal violet in sunlight

To evaluate, for the first time, the effect of the Moroccan Miswak (Salvadora persica) extract on the corrosion behavior of Ni–Cr dental alloy in artificial saliva, the electrochemical techniques, such as Inductively Coupled Plasma Atomic Emission Spectrometry (ICP-AES), surface analysis, and metal release were investigated. Data extracted from the obtained electrochemical corrosion tests demonstrated that the resistance to corrosion of Ni–Cr alloy was improved in presence of Miswak extract at various concentrations, due to the protective action created by the adsorption of Miswak extract on the Ni–Cr alloy surface; the concentration of 1000 ppm presents a corrosion inhibition efficiency of 87%. In presence of the Miswak extract, the SEM–EDS and XRD studies confirm the formation of a film on Ni–Cr dental alloy surface and revealed a reduction in the relative dominance of Ni and Cr on the alloy surface. Also the release of Ni, Cr, and Mo ions has been obviously decreased.